Cited by 107Muscle activation and electromyography studiesMotor Control and AdaptationMuscle Physiology and Disorders

Effects of the Jendrassik manoeuvre on muscle spindle activity in man.

Open access
Hagbarth, K E, Wallin, G, Burke, D, Lofstedt, L·1975·Journal of Neurology, Neurosurgery & Psychiatry

Abstract

Twenty-eight mechanoreceptive units identified as primary or secondary spindle afferents were sampled from muscle nerve fascicles in the median, peroneal, and tibial nerves of healthy adult subjects. The responses of these units to sustained passive muscle stretch, to passive stretching movements, to tendon taps, and electrically-induced muscle twitches were studied while the subject performed repeated Jendrassik manoeuvres involving strong voluntary contractions in distant muscle groups. The manoeuvres had no effect upon the afferent spindle discharges as long as there were no EMG signs of unintentional contractions occurring in the receptor-bearing muscle and no mechanotransducer signs of unintentional positional changes altering the load on that muscle. Unintentional contractions in the receptor-bearing muscle frequently occurred during the manoeuvres, however, and then coactivation of the spindle afferents was observed. Multiunit afferent responses to Achilles tendon taps, led off from tibial nerve fascicles, were in a similar way uninfluenced by the Jendrassik manoeuvres, even when these resulted in marked reinforcement of the calf muscle tendon jerk. The results provide no evidence for fusimotor sensitization of spindles in muscles remaining relaxed during the Jendrassik manoeuvre, and reflex reinforcement occurring without concomitant signs of active tension rise in the muscles tested is presumed to depend upon altered processing of the afferent volleys within the cord.

AI snapshot

Written from the paper’s full text.

TL;DR

This study tested whether the Jendrassik manoeuvre increases muscle spindle afferent activity in relaxed human muscles. It found no evidence for fusimotor sensitization when receptor-bearing muscles stayed relaxed; apparent spindle changes accompanied unintentional extrafusal contractions or load changes, and tendon-jerk reinforcement was attributed to altered central processing.

Key findings

  • In 28 identified spindle afferents from median, peroneal, and tibial muscle nerve fascicles, Jendrassik manoeuvres had no effect on discharge when EMG and torque showed no unintentional contraction or positional change in the receptor-bearing muscle.
  • Among 30 mechanoreceptive units, 15 were unaffected; in the other 15, changes were mostly non-reproducible, and all changes coincided with EMG or torque evidence of extrafusal activity or altered load. Only four spindle afferents increased firing in every manoeuvre tested.
  • Multiunit tibial nerve responses to Achilles tendon taps did not increase during reinforcement, even when reflex torque and EMG were larger; the afferent volley produced by percussion was unchanged.
  • Non-spindle activity could be modified: a Golgi tendon organ Ib fibre increased firing with unintentional forearm tension, and sympathetic efferent bursts increased during forceful manoeuvres, but spindle activity did not.

Methods

  • 21 experiments were performed in 18 healthy adults aged 25–48 years with no neurological disease; tungsten microelectrodes recorded from muscle nerve fascicles of the median, peroneal, and tibial nerves.
  • 30 mechanoreceptive units were analysed, of which 28 fulfilled spindle-afferent criteria (21 probable group Ia, 7 probable group II; 2 were group Ib tendon organs). Altogether, 127 Jendrassik manoeuvres were performed on the 28 spindle afferents.
  • Units were tested at constant muscle length, during passive stretch, during tendon taps, and during electrically induced twitches; joint angle, torque, and EMG of receptor-bearing muscles were monitored. The reinforcement manoeuvre was fist clenching or forced separation of interlocked clenched hands.

Limitations

  • Stated: EMG electrodes may not have been positioned to record all contracting muscle portions, so some torque changes without detectable EMG could still reflect undetected active contraction.
  • Stated: single-fibre sampling may be biased, which prompted multiunit recordings; distinguishing group Ia from group II fibres was sometimes difficult.
  • Evident from the text: the sample was small and limited to healthy adults, and sympathetic bursts or body displacement could obscure or confound recordings; the paper notes that sympathetic activity sometimes obscured the afferent activity under study.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1136/jnnp.38.12.1143

Cites

21 of 21 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 18 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    The unit almost ceases firing when torque falls at the end of the manoeuvre.

    “The unit almost ceases firing whent torque falls at the end of the manoeuvre.”
    Quote in the paperNot a substantial claim
  • Findingcitation

    The Valsalva-type manoeuvre is particularly potent in enhancing the sympathetic pulse synchronous outflow to the muscles.

    “this type of manoeuvre is particularly potent in enhancing the sympathetic pulse synchronous outflow to the muscles.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Delius et al., 1972 source

      Not checked in the free run.

  • Findingown data

    In relaxed muscles, no evidence of increased dynamic spindle sensitivity has been found to accompany tendon jerk reinforcement.

    “In re- laxed muscles no evidence of increased dynamic spindle sensitivity has been found to accompany tendon jerk reinforcement.”
    Quote in the paperSubstantial claim
  • Findingown data

    In manoeuvres where a spindle response was accompanied by EMG activity in the receptor-bearing muscle, the increase in fibre frequency was better correlated with the time course of the EMG events than with the duration of the manoeuvre.

    “frequency was better correlated with the time in the Figure ).In C the extrafusal contraction course of the EMG events than with the dura-was weak, as seen in the torque and EMG tion of the manoeuvre (Fig. 3).”
    Quote in the paperSubstantial claim
  • Findingown data

    Fist clenching causes a marked enhancement of sympathetic efferent activity recorded in a peroneal muscle nerve fascicle of a subject with mild hypertension.

    “Figure 8 illustrates how fist clenching causes a marked enhancement of the sympa- thetic efferent activity recorded in a peroneal muscle nerve fascicle of a subject with mild hypertension.”
    Quote in the paperNot a substantial claim
  • May combine two claims. 17
  • Classified as probably not a substantial claim. 14
  • The quote only partly states this claim. 1
  • May combine two claims.

    Findingown data

    In a tibialis anterior group Ia fibre at constant length, one Jendrassik manoeuvre of four is associated with a significant increase in discharge frequency, but this is correlated with an increase in torque.

    “In A, one Jelndrassik manioeuvre offour is associated with a significanit inicrease in discharge frequency but this is correlated with ani increase in torque.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Only 5000 of the spindles tested altered discharge frequency during reinforcement manoeuvres, and in most of these the effects were variable, a decrease in frequency being occasionally recorded.

    “In the present study, however, only 5000 of the spindles tested altered discharge frequency dur- ing reinforcement manoeuvres, and in most of these the effects were variable, a decrease in frequency being occasionally recorded.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In Fig. 5, reinforcement had no effect on integrated neural activity during passive stretching at fast rates (A) and relatively slow rates (B).

    “In Fig. 5 the lack of effect of reinforcement on integrated neural activity is shown during passive stretching at fast rates (A) and relatively slow rates (B).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    Two afferent fibres were regarded as group Ib afferent fibres from Golgi tendon organs.

    “Two afferent fibres were regarded as group Ib afferent fibres from Golgi tendon organs”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    Weak voluntary contractions may be accompanied not only by increased static spindle firing but also by increased dynamic spindle responses to tendon percussion.

    “We have observed that weak voluntary contractions may be accompanied not only by increased static spindle firing but also by in- creased dynamic spindle responses to tendon percussion (unpublished observations).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    In Fig. 6, percussion of the Achilles tendon elicited an afferent neural discharge and a reflex contraction of the triceps surae.

    “In Fig. 6 percussion of the Achilles tendon elicited an afferent neural discharge and a reflex contraction of the triceps surae.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The reinforcement manoeuvre in Fig. 6B produced increases in reflex torque and reflex EMG but no increase in size of the afferent neural volley.

    “The reinforce- ment manoeuvre performed in B produced in- creases in reflex torque and reflex EMG but no increase in size of the afferent neural volley.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    With careful monitoring of the state of the extrafusal muscle, the present study has been unable to confirm previous assertions that there is a marked increase of muscle spindle activity in a relaxed muscle during contraction of a remote muscle and that fusimotor sensitization contributes to reflex reinforcement.

    “With careful monitoring of the state of the extrafusal muscle, the present study has been unable to confirm these assertions.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In a tibialis anterior group II fibre, discharge increased slightly during a Jendrassik manoeuvre, but this was correlated with a slight increase in torque and the appearance of EMG potentials from a single motor unit in tibialis anterior muscle.

    “In C, the dis- charge of a tibialis anterior group II fibre increased slightly clurinig a Jenidrassik manoeuvre (indicated by the solid bar) but this was correlated with a slight increase in torque (second trace) and the appearance of EMG potentials from a single motor unit in tibialis aniterior muscle (third trace).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Of the 28 spindle afferent fibres, 18 were classified as 'definite spindle afferents' on the basis of their discharge during the relaxation phase of electrically-induced twitches or mechanically-induced tendon jerks, and the other 10 were denoted 'probable spindle afferents'.

    “Of these 28 fibres, 18 were also tested using electrically-induced muscle twitches or mechanically-induced tendon jerks, and on the basis of their discharge during the relaxation phase of the twitch they were classified as 'definite spindle afferents', whereas the other 10 units were denoted as 'probable spindle afferents'.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The reinforcement manoeuvre failed to affect the response of a single Ia afferent fibre to tendon percussion, although a greater discharge was seen during the relaxation phase of the enhanced reflex contractions.

    “The reinforcement manoeuvre also failed to affect the response of this fibre to tendon percussion, although, as may be expected, a greater discharge was seen during the relaxation phase of the enhanced reflex contractions.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In a peroneus group Ia fibre, spindle activation coincides with the onset of the Jendrassik manoeuvre but outlasts each manoeuvre and correlates more closely with the unintentional contraction/traction that developed in the peroneal muscles.

    “In A, spindle activationi coitncides wit/h the onset of the manoeuvre but outlasts each manoeuvre anid correlates more closely with the unintentional cont-1 o/S tractioni that developed in the peroneal muscles.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    At seemingly constant muscle length, some spindle fibres maintained a relatively stable mean discharge frequency, but others were extremely sensitive to minor disturbances.

    “At seemingly constant muscle length, some fibres maintained a relatively stable, mean discharge frequency, but others proved extremely sensitive to minor disturbances”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Burg et al. (1973, 1974) reported that during the Jendrassik manoeuvre spindle afferent activity accelerated in remote relaxed muscles and that there was an irregular spontaneous spindle discharge which varied in frequency with the subject's degree of attention.

    “Diverging results were recently reported by Burg et al. (1973, 1974) who during the Jendras- sik manoeuvre found an acceleration of spindle afferent activity in remote relaxed muscles and an irregular spontaneous spindle discharge which varied in frequency with the subject's degree of attention.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Burg et al. (1973, 1974)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Hagbarth and Vallbo (1968) noted a marked enhancement of activity in muscle spindle afferent fibres during voluntary isometric contraction of the leg or arm muscles in which the receptors were located.

    “In the initial study dealing with recordings from muscle spindle afferent nerve fibres in man, Hagbarth and Vallbo (1968) noted a marked enhancement of the activity in these fibres during voluntary isometric contraction of the leg or arm muscles in which the receptors were located.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Hagbarth and Vallbo (1968) source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    The high sensitivity of some spindle afferents made it crucial that equally sensitive measures be used to monitor possible disturbing forces.

    “a sensitivity which made it crucial that equally sensitive meas- ures be used to monitor possible disturbing forces.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing).

    Interpretationcitation

    These findings seem to imply that in awake human subjects intrafusal fibres are exposed to a sustained fusimotor outflow varying in strength during various manoeuvres without concurrent changes in the skeletomotor outflow to the receptor-bearing muscles.

    “These findings seem to imply that in awake human subjects intrafusal fibres are exposed to a sustained fusimotor outflow varying in strength during various manoeuvres without concurrent changes in the skeletomotor outflow to the receptor-bearing muscles.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Animal experiments have shown that differential effects on the skeletomotor and fusimotor systems can occur in conditioned movements and can be induced by stimulation of different regions of the cortex, basal ganglia, and brain stem.

    “Although animal experiments have shown that differential effects on the skeletomotor and fusi- motor systems can occur in conditioned movements (Buchwald and Eldred, 1962) and can be induced by stimulation of different regions of the cortex, basal ganglia, and brain stem, the signifi- cance of these findings to the normal control of movements, particularly in man, is conjectural.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Buchwald and Eldred, 1962

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    More recently, the principle of alpha-gamma coactivation has been shown to apply to rapid alternating movements and the involuntary tremulous movements of patients with Parkinson's disease.

    “More recently, the principle has been shown to apply to rapid alternating movements (Hagbarth et al., 1975a) and the involuntary tremulous movements of patients with Parkinson's disease (Hagbarth et al., 1975b).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Hagbarth et al., 1975a

      Not checked in the free run.

    • cites Hagbarth et al., 1975b

      Not checked in the free run.

  • Classified as probably not a substantial claim. The quote only partly states this claim.

    Study design and conductown data

    Compliance with the instruction to remain relaxed in all muscles other than those taking part in the manoeuvre was checked for the receptor-bearing muscles by EMG and torque recordings.

    “Compliance with this request was checked for the receptor-bearing muscles by the recordings of EMG and torque described earlier.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The EMG and torque recordings used were sensitive enough to detect any unintentional contraction or positional change in the receptor-bearing muscle that could alter spindle discharge.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The strain gauge bridge was adjusted so that small changes in torque down to 0.05 Nm could be readily discerned.

    “the sensitivity of the bridge being adjusted in such a way that small changes in torque down to 0.05 Nm could be readily discerned.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    A change in firing frequency in response to the Jendrassik manoeuvre is not a specific characteristic of muscle spindles, and this criterion cannot be used as a means of identification of spindles.

    “Thus it is clear that a change in firing frequency in response to the Jendrassik manoe- uvre is not a specific characteristic of muscle spindles, and this criterion cannot be used as a means of identification of spindles.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    No reduction in afferent stretch responses was seen after lidocaine blocks of the muscle nerve proximal to the recording site.

    “and no reduction in afferent stretch responses was seen after lidocaine blocks of the muscle nerve proximal to the recording site (Hagbarth et al., 1970b, 1975a; Wallin et al., 1973).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Hagbarth et al., 1970b, 1975a

      Not checked in the free run.

    • cites Wallin et al., 1973

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    An increased afferent percussion discharge during contraction may simply be a reflection of a more effective transmission of the tendon percussion wave to the spindle receptors.

    “Any contraction alters the mechanical state of the muscle and it is conceivable that an increased afferent percussion discharge is simply a reflection of a more effective transmission of the tendon percussion wave to the spindle receptors.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductcitation

    The electrode was assessed as having impaled a pure muscle nerve fascicle by multiunit afferent discharges in response to passive muscle stretch and tendon taps with concurrent lack of afferent responses to skin strokings and other superficial cutaneous stimuli.

    “a main criterion be- ing the multiunit afferent discharges appearing in re- sponse to passive muscle stretch and tendon taps with concurrent lack of afferent responses to skin strok- ings and other superficial cutaneous stimuli.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Hagbarth et al., 1975a

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    As long as the receptor-bearing muscles remained relaxed, Swedish investigators found no evidence for varying fusimotor tonus: dynamic and static spindle responses to passive stretch were not appreciably influenced by the Jendrassik manoeuvre or by changes in the attentive state of the subject.

    “As long as the receptor-bearing muscles re- mained relaxed, the Swedish investigators found in awake human subjects no evidence for varying fusimotor tonus-that is, the dynamic and static spindle responses to passive stretch were not appreciably influenced by the Jendrassik manoeuvre (Hagbarth and Vallbo, 1968) or by changes in the attentive state of the subject (Vallbo, 1972)”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Hagbarth and Vallbo, 1968 source

      Not checked in the free run.

    • cites Vallbo, 1972

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    EMG activity was monitored on a loudspeaker and integrated, which aided identification of low amplitude distant potentials difficult to distinguish from background noise.

    “These measures aided identification of low amplitude distant potentials which were difficult to distinguish from background noise in the direct recording.”
    Quote in the paperNot a substantial claim
27 of 27
  • The paper relies on this without support.

    The EMG and torque recordings used were sensitive enough to detect any unintentional contraction or positional change in the receptor-bearing muscle that could alter spindle discharge.

    “Compliance with this request was checked for the receptor-bearing muscles by the recordings of EMG and torque described earlier.”
    “a sensitivity which made it crucial that equally sensitive meas- ures be used to monitor possible disturbing forces.”
1 of 1

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The same reinforcing effect was also seen in the H-reflex, which is independent of the spindle receptors and hence is presumably not affected by the gamma innervation.

    “However, the same reinforcing effect was also seen in the H-reflex (Hagbarth et al., 1975, Dowman and Wolpaw, 1988), which is independent of the spindle receptors and hence is presumably not affected by the gamma innervation.”

    From Standardization of the Jendrassik maneuver in Achilles tendon tap reflex (2018) · cites this paper as Hagbarth et al., 1975

  • The main mechanism behind the JM is not fusimotor activation.

    “Different studies, using microneurography and muscle spindle conditioning, discussed that the main mechanism behind the JM is not the fusimotor activation (Gregory et al., 2001, Hagbarth et al., 1975).”

    From Standardization of the Jendrassik maneuver in Achilles tendon tap reflex (2018) · cites this paper as Hagbarth et al., 1975

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Definite-spindle count differs between the text and Table 2

    Minor

    The text reports 18 definite spindle afferents, but the four definite-spindle rows in Table 2 list 9, 4, 4, and 2 units, totaling 19.

1 of 1

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. Wartenberg, R. (1953). Diagnostic Tests in Clinical Neurology, pp. 119-120. Year Book Publishers: Chicago.

Cited by

Sorted by citations

Authors
Hagbarth, K. E., Wallin, G., Burke, D., & Lofstedt, L.
Affiliations
Uppsala University Hospital (SE)
Venue
Journal of Neurology, Neurosurgery & Psychiatry
Publisher
BMJ
Published
1975-12-01
Volume
38
Issue
12
Pages
1143-1153
ISSN
0022-3050 (ISSN-L)
OpenAlex
W2106244872
Cited by
107
References
21
Citations by year
2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 1 · 2012: 2
FWCI
10.33
Type
journal article
Language
en
Open access
Locations
  • Journal of Neurology Neurosurgery & Psychiatry (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › Muscle activation and electromyography studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
Keywords
muscle spindles, fusimotor system, spindle afferents, voluntary muscle contraction, deep tendon reflexes, coactivation, mechanoreceptors, tibial nerve, peroneal nerve, median nerve
MeSH terms
Adult, Electromyography, Humans, Mechanoreceptors, Muscles, Muscle Spindles, Reflex, Stretch, Sympathetic Nervous System, Tendons

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